P Praxis·MD
● Active Type 1 · Individual

Myrna Cruz Roderick, NURSE PRACTITIONER

Nurse Practitioner·Beaumont, TX· NPI 1366703852 · Enumerated 2012 · 13 years on NPI
Roderick is 1 of 225 nurse practitioner providers in Beaumont and 1 of 22123 in Texas.
NPI age
13 years
Enumerated 2012-05-31
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
6480 Delaware St
Beaumont, TX 777064648
📞 4098131677fax 4092320596
Mailing address
3406 College St Ste 200
Beaumont, TX 777014612
📞 4098131677

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #722471 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Beaumont in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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